癌症患者生命末期成本:系统性审查
Soraya Camargo Ito Süffert1, Carlos Eduardo Aliatti Mantese2,3, Felipe Rodrigo de Castro Meira4
1Graduate Program of Pathology, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, Brazil.
The American journal of hospice & palliative care
|September 23, 2024
概括
生命末期癌症护理费用复杂且差异很大. 需要更多的研究,特别是在低收入国家,以了解更好的公共卫生政策的间接和无形成本.
科学领域:
- 卫生经济学 卫生经济学
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 癌症患者的生命末期护理需要付出相当大的费用.
- 了解这些成本对于医疗保健政策和资源分配至关重要.
- 现有研究表明,成本分析方法存在异质性.
研究的目的:
- 系统地审查和确定与瘤患者生命终端护理相关的成本.
- 综合现有关于癌症患者生命末期成本的文献的发现.
主要方法:
- 在Embase,PubMed和Lilacs数据库中进行了系统的文献审查.
- 包括到2024年3月发表的评估癌症患者终身护理成本的研究.
- 使用德拉蒙德检查清单进行质量评估,并遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
主要成果:
- 在733项检索中,有43项研究符合条件,重点是各种瘤 (41.86%) 和肺部瘤 (18.60%).
- 在所有研究中都进行了直接成本分析;在9.30%的研究中分析了间接成本. 没有一项研究评估了无形成本.
- 大多数研究都采用了付款人观点 (74.41%) 和宏观成本方法 (81.39%),导致了显著的异质性和限制了资源可变性评估.
结论:
- 需要进行新的研究,特别是在低收入和中等收入国家,以解决间接和无形成本.
- 建议未来的研究以社会视角为基础,以告知公共卫生政策.
- 开发一致的成本数据对于向基于价值的护理转型和增强患者/家庭价值至关重要.
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